Healthcare Provider Details

I. General information

NPI: 1801705397
Provider Name (Legal Business Name): NEHEMIAH-JOSEPH LOGISTICS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12609 PORT CHESTER CT
RALEIGH NC
27614-8876
US

IV. Provider business mailing address

101 NOTTINGHAM DR
GOLDSBORO NC
27530-7771
US

V. Phone/Fax

Practice location:
  • Phone: 919-935-8559
  • Fax:
Mailing address:
  • Phone: 919-935-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCO DANYELL VAUGHN
Title or Position: CEO OWNER-OPERATOR
Credential: MBA
Phone: 919-935-8559